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NPI Code Detail

MEDICARE: ELEGED HOME CARE INC

MEDICARE: ELEGED HOME CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1578081386
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEGED HOME CARE INC
Provider Business Mailing Address
First Line : 2614 NICOLLET AVE STE 203
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-558-6280
Fax Number : 612-435-1232
Provider Business Practice Location Address
First Line : 2614 NICOLLET AVE STE 203
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-558-6280
Fax Number : 612-435-1232
Authorized Official
Title or Position : OWNER/MANAGER
Name : ABDI H ALI
Credential :
Telephone Number : 612-558-6280
Provider Enumeration Date : 08/31/2017
Last Update Date : 07/21/2022

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Directions to “ELEGED HOME CARE INC ” Practice Location

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